浅谈临床药学存在问题及分析.doc

this type of operation for the safety technology. Without education and training in safety knowledge, shall not enter the construction site operations. To enter the construction site, you must wear a helmet, buckle chinstrap. Work at two meters high and must be fastened. When working at height, are not allowed to throw down or up the materials and tools and other objects. Persons not engaged in electrical and mechanical, prohibited the use of mechanical and electrical equipment. Building materials and components to be tidy and secure, shall not exceed the relevant provisions. Hazardous areas should be clearly marked, protective measures should be taken at night to set up a red light warning. In the operation, should adhere to their jobs, drunken operation is strictly prohibited. Special operations personnel (electricians, welders, boiler operators, blasters, lifting grid and pile drivers and commanding, shelf workers, machines, motor vehicle drivers, and so on) must be operating permits from the relevant sector professional training examinations, independent operation, operation focus, not to leave. Construction site prohibited to wear slippers, heels, skirt, sliding and studded shoes and barefoot, shirtless, and so on. Construction site of the scaffold (prohibition of the use of bamboo and wood materials setting), protective equipment, safety signs, warning signs, scaffolding wall may be supplemented, removed and need to be removed must be reinforced by the contractors agree. Construction site of the four (openings, stairs, lift head, hole) and the five-limb (balcony, framing, roofing, run (oblique) road and unloading platforms), protective measures and clearly marked. Are not allowed to sit at the feet of . Nails should be promptly removed. Drywall cut bricks are cut, no outside chopping. Preventing broken tiles fall hurt. Tools must always be mounted after good tool bag. In the Derrick (gantry) travel; in the Derrick (gantry) increased security measures are not taken to the following cleaning mortar, concrete and other debris; hanging baskets for a long time is not allowed to stop the air; after work basket must be placed in the ground, and cut off the power and lock box. Scaffolding on the Frost, snow, mud, and building waste time cleaning. Both ends of the scaffold to fasten to prevent probe Panel. Danger of overloading the scaffold: laying per square foot scaffold distributed load shall not exceed 270KN, piled up on the scaffold standard bricks of single side three storeys high. Wall removal of dangerous scaffolding; Sat down to rest on the guard rail danger; Set, dismantling scaffolding, Derrick (gantry) high, edges, vacant jobs, such as not wearing a seat belt at risk. Upper part of the ladder to fasten, antiskid measures are required in the lower part. Upper part of the ladder to hang, and lower banding. Ladder to fasten in the Middle, lower to have a non-slip steps, are not allowed to sit on it, riding moves. Altitude: personnel engaged in the Spider-man,stavebn tm vdce mst een. een by mlo zahrnovat analzu rizik, monost nehod charakteristik a nouzovch postup, nouzov zpracovn a obsah opaten. 4, integrovan pohotovostn plny, speciln havarijn plny a mst een by mly bt mezi sebou a s ostatnmi jednotky zapojeny v nouzi, kter jsou vzjemn propojeny. 5, havarijn pln by ml zahrnovat havarijn personl a organizace kontakt, nouzov rezervn seznam a dal informace. Informace by mly bt pravideln aktualizovny a zajist, e informace jsou pesn a platn. tyi, havarijn pln revize 1, Recenze pohotovostn plny pezkoumn formul a prvky pezkumu a opaten pijatch dvma zpsoby. Kdy host slou pedevm pro havarijn plny pro zznam v podob Recenze, prvek hodnocen pro nouzov hodnocen. . Kd pro porn ochranu konstrukce budov a nsk republice ny exploze nebezpen oblasti elektrick bezpenostnch pedpis a pedpis o porn ochranu design rafinaci ropy a chemickch podnik, napklad poadavky na pedpisech a nazench. 2. pi provdn instalace me zpsobit por, exploze, kter sti by mly bt pln nastaven peht, petlaku, micch pstroj, alarm (zvuk a svtla). 3. kde je holav plyn (pra) me unikat , holav plyn koncentrac detekce, alarm by mla bt nastavena. 4. vechny komunikoval s holav, vbun zazen s inertnm plynem, plynov penosov potrub, by mla bt nastavena zabrnit holavch a vbunch ltek do zazen, ale nemla bt samostatn zptn ventil. 5. holav plyn (pra) nastavit plamen svodi odvzduovac vvod, snadno pracovat, kde se zastavit ventily, aby pi vstupn vtrac potrub je v plamenech, peruil por plynu odvzduovac potrub ml bt nainstalovn v nejni hasicho zazen. 6. kdy dopravu holavch materil by mla odpovdat prmru potrub a stedn mrn odpor, sprvn zen prtoku, co nejvce se vyhnout statick elektiny. Antistatick opaten, jako jsou zazen, potrub, by mlo bt v souladu s technickmi pedpisy pro uzemnn design pro chemick podniky pslunch ustanoven. 7. nhl vbun petlaku nebo rychlho rozkladu vrobnch zazen nebo skladovacch zazen by mly bt vybaveny vbuchu (nevbun membrna), vvoz nonel trubice smrem k bezpenosti a aby prevence sekundrnch exploz, protiporn opaten. 8. vrobnthe principle of simplified EIA of construction projects in the region. In terms of land, linked to the implementation of urban and rural construction land increase and decrease, replacement indicators for priority areas project. Charges, into the projects of water, electricity, administrative charges and preferential policies. In the area of taxation, and settled in areas of industry and its production company, within 5 years after the completion of fiscal incentives to enterprises. In terms of financing, integration of land, tax, financial and other resources, and construct Government credit + business credit credit system, establishment of marketization, commercialization and modernization of the investment and financing platform; effective Bank-enterprise docking, encourages private capital into the Park, to raise industry development fund. 5, optimize the environment and service industries. To create policy lowlands, Highlands, integrity of service land, development land as the goal, to optimize the area under development environment. All administrative law enforcement departments to appoint a full-time personnel stationed in areas dedicated to coordinating and solving problems associated with businesses in this sector. When there are substantial issues, sector leaders arranged to personally intervene, in-person, in-person push tangible area building a green light, easy line. To further reduce and standardize administrative examination and approval items, simplify examination and approval links, improve efficiency; according to the .Since the educational practice of the mass line of the party, himself seriously in the education, practical control central eight rules and opposing the four winds and practicing three Suns, and check the spirit of Jiao Yulu, ideology, solicit opinions based on outstanding problems checked swing, careful analysis and reflection. Will now check report is as follows: first, adherence to the partys political discipline, eight in the central provision, change the style of the basic situation of 1, in compliance with the partys political disciplines. Conscientiously abide by the partys political discipline, abide by the Constitution and the rules and regulations of the party, in the political, ideological and maintain highly consistent with the CPC Central Committee on the action, there is no violation of the partys political discipline problems. 2, in the implementation of the central authorities of the eight provisions. Improving research, improving research methods, but there are less grass-roots units, primary first-hand an inadequate grasp of the problem, which is to be strengthened in the future. Second, construction, strictly in accordance with the provisions to streamline and improve the quality of meetings of the Conference. Third, streamlining file briefs, culture involves all aspects of propaganda and ideology, sometimes due to the practical needs of invention notifications, this area needs further摘 要毕业实习报告浅谈临床药学存在问题及分析申请人：陈兆明学科（专业）：药学指导教师：冯变玲2012年02月this type of operation for the safety technology. Without education and training in safety knowledge, shall not enter the construction site operations. To enter the construction site, you must wear a helmet, buckle chinstrap. Work at two meters high and must be fastened. When working at height, are not allowed to throw down or up the materials and tools and other objects. Persons not engaged in electrical and mechanical, prohibited the use of mechanical and electrical equipment. Building materials and components to be tidy and secure, shall not exceed the relevant provisions. Hazardous areas should be clearly marked, protective measures should be taken at night to set up a red light warning. In the operation, should adhere to their jobs, drunken operation is strictly prohibited. Special operations personnel (electricians, welders, boiler operators, blasters, lifting grid and pile drivers and commanding, shelf workers, machines, motor vehicle drivers, and so on) must be operating permits from the relevant sector professional training examinations, independent operation, operation focus, not to leave. Construction site prohibited to wear slippers, heels, skirt, sliding and studded shoes and barefoot, shirtless, and so on. Construction site of the scaffold (prohibition of the use of bamboo and wood materials setting), protective equipment, safety signs, warning signs, scaffolding wall may be supplemented, removed and need to be removed must be reinforced by the contractors agree. Construction site of the four (openings, stairs, lift head, hole) and the five-limb (balcony, framing, roofing, run (oblique) road and unloading platforms), protective measures and clearly marked. Are not allowed to sit at the feet of . Nails should be promptly removed. Drywall cut bricks are cut, no outside chopping. Preventing broken tiles fall hurt. Tools must always be mounted after good tool bag. In the Derrick (gantry) travel; in the Derrick (gantry) increased security measures are not taken to the following cleaning mortar, concrete and other debris; hanging baskets for a long time is not allowed to stop the air; after work basket must be placed in the ground, and cut off the power and lock box. Scaffolding on the Frost, snow, mud, and building waste time cleaning. Both ends of the scaffold to fasten to prevent probe Panel. Danger of overloading the scaffold: laying per square foot scaffold distributed load shall not exceed 270KN, piled up on the scaffold standard bricks of single side three storeys high. Wall removal of dangerous scaffolding; Sat down to rest on the guard rail danger; Set, dismantling scaffolding, Derrick (gantry) high, edges, vacant jobs, such as not wearing a seat belt at risk. Upper part of the ladder to fasten, antiskid measures are required in the lower part. Upper part of the ladder to hang, and lower banding. Ladder to fasten in the Middle, lower to have a non-slip steps, are not allowed to sit on it, riding moves. Altitude: personnel engaged in the Spider-man,ch zazen, budov a konstrukc, tanky a jin zsuvky prmyslov vody, krom ustanoven vodu tak, by mlo bt instalovno v oblasti s vodou k utsnn vrtu, uzavrac ventil, aby se zabrnilo velk mnostv holavch a vbunch materil do kanalizace. 9. pouit v holavch, vbunch plyn pojistn ventil a vtrac potrub, je nutn export trubice je umstn mimo a vy ne 2 metry nad budovou. (B) pouvn ohn, ohe (viz systm sprvy prce) (c) porn zazen a organizac 1. realizace prevence prvn a integrovan prevence ohe politiku, pijmout modern technologie poru a vbuchu prevence a pomoci, provdn zen podle cl. 2. zzen veden spolenosti a vedouc jednotlivch oddlen Porn bezpenost vboru, workshop zaloena porn ochrany, vedouc skupiny a nastavit dobrovolnch hasi. 3. spolenost tvaru ochrany spotebitele na pln vazek hasii, hasii formulovat pln protiporn prevence a akn pln, provdn zen podle cl, pravideln proveden publicitu porn prevence a vzdlvn a kolen, v kombinaci s oekvan porn cvien. 4. soubor stacionrn ohn uvnit spolenosti zazen, protiporn zazen mus bt v Sprva slueb, rozvoj provozn postupy a systmy zen. 5. porn zazen na serveru nastavit jasn, pstup k pohodln a bezpen msto, pravideln kontroly drby, ti (to je, pevn, fixn typ a mnostv, podle odbornk), a nem nikdo nenapadal, pachatel dle systmu ke zpracovn. 6. vechny holav a vbun ltky ve spolenosti a potenciln ped porem a vbuchem nebezpen vroby, skladovn, prodej a pouvn procesu a jeho souvisejc vybaven, psn zen. 7. kdy je ohe, pole tby okamit uspodejte do boje s ohnm, a ohledn vroby, plnovn, alarmy a ohn a adresu urit sti ohn a pinastreamlining. Four are standard visits, except as required to participate in training, no other activity. Five is to improve news reporting, for propaganda work strictly according to the regulations. Six is strictly your presentation published strictly according to the regulations. Seven is strictly thrift, required the use of vehicles and office space and corporate hospitality. 3, change the style. Propaganda and ideological work of the new situation and new requirements of the new tasks, had done a lot of fruitful work, has made many achievements, but further closer to the grass roots, close to reality, close to the masses and also inadequate innovation must continue to improve. Second, the four winds some outstanding issues 1, oppose formalism. One theory is that he didnt, with less close contact. Theoretical study of consciousness is not high enough, system performance is not strong enough; more passive learning, active learning few generalities and learn more, delving into less. Especially based on rational thinking on major issues, applying theory to guide the work done is not good enough, not really understand and grasp the spirit and essence of the scientific Outlook on development, did not truly achieve mastery, to apply, to a certain extent, affect the development and implementation of ideas and initiatives. Second, work arrangements, and less supervision. Propaganda and ideological work is the objective, which needs to keep the continuity efforts deployed, but stressed in the work time, less supervision. For example, color weekends in the summer theatrical activities, city square performances, urging townships, communities and rural areas shows the implementation is inadequate, insufficient cultural an educational role to play. Third base enough, master grass-less real. Propaganda and ideological work in the new situation of characteristics and regularity of enough, deep enough for grass-roots public opinion Dynamics survey, for grass-roots typically drive less. For example, rural culture team active, . Im not actively take the initiative to take up, the lack of spirit of daring to, resulting in some job had a lot of power, but no tangible results. Third, innovation, lack of motivation. Emancipation did not end, innovation does not exist. In practical work, not your head, previous work experience, lack of innovation initiatives, study on the characteristics of propaganda and ideological work under the new situation through, grip on grassroots ideological trends and changes are not deep, to promote new initiatives and explore new methods of ideological and cultural work is not much, and some lack of relevance and timeliness. 4, discipline, lowering, and hard work are lacking. While working and enterprising spirit down. No real solution to treat yourself right, correctly treat past honors, their complacency, and work to see their scores more, less checking his own shortcomings, like to listen to the praise, satisfied face, online promotion, there are typical, and lack of high standards and strict requirements, the effect is real. Second hard drive less. On hard and题目：浅谈临床药学存在问题及分析学科（专业）：药学申请人：陈兆明指导教师：冯变玲摘 要目的：分析国内临床药学发展中存在的问题，促使临床药学健康发展。方法：回顾性分析国内临床药学的发展历程，对发展过程中存在的问题进行分析。结果：国内临床药学经历了20多年的发展，始终没有走进临床、医生、护士和患者。结论：政策、体制、法规的欠缺，致使临床药师成为空话；药学教育滞后影响临床药学发展；不能直接为医院创造经济效益、以及给患者带来的实惠不能立竿见影，导致临床药学发展缺乏源动力。关键词：临床药学药师；问题合理用药；分析7目 录目 录1 临床药学存在的问题11.1先天不足的临床药学11.1.1国内临床药学政策11.1.2我国的临床药学工作的目标11.1.3国内临床药学的发展21.2后天失养的临床药学21.2.1临床药学的宗旨21.2.2临床药学工作效果的评定32 狭缝中生存的临床药学32.1开展临床药学工作的重要性32.2回顾20多年来临床药学走过的艰难旅程42.3临床药师的职责要求43 发展临床药学的几点建议53.1建立和健全相关法规及督查机制53.2加快药学教育模式转变53.3社会各界的支持53.4加强药师队伍自身素质建设6致 谢7参考文献8西安交通大学网络教育学院毕业实习报告临床药学是一门以病人为研究中心，以提供安全、有效、经济合理的药物治疗为目的的药学科学。其对治疗药物的选择宗旨是：安全、有效、经济、适宜。这样一种在国外深受患者和医、护人员欢迎的零距离药学服务，在国内经过二十多年的反复争论和尝试，却始终没有走进患者，并且还有很长的路走。药师与患者仍如两条难以相交的直线，很难找到交汇点。1 临床药学存在的问题1.1先天不足的临床药学1.1.1国内临床药学政策20多年前卫生部颁布医院药剂工作条例1要求药剂科要结合临床研究，积极地开展临床药学科研工作.。全国许多大、中型医院都积极响应，并切合实际地开展了临床药学工作，但是在长达20多年的时问里，卫生行政部门未给开展临床药学工作的药师定位、定岗、定编、定职称等，甚至最基本的临床药学工作场所都是各医院各不相同，有的是去临床查房，有的是在实验室，有的是在临床.等等五花八门都有。时至今日，在卫生系列职称评聘中仍找不到临床药师职称，导致从源头上开始就找不到开展临床药学工作的主体寨临床药师。由此可见，从引入临床药学之初至今，对临床药学工作的定位，隶属关系，检查落实以及相关的配套政策上都还处于一片空白。截至目前，在医疗卫生体制政策内，还不存在临床药师，所以说国内临床药学在政策上就先天不足。1.1.2我国的临床药学工作的目标从开始即缺乏对人才的培养和储备：临床药学工作一直由原医院药师担任，国内医院药师的教育培养模式是以化学为主，以培养制剂、调剂、药品检验，药品供应保障的大药学人才，严重缺乏病理诊断、治疗学方面的知识。因此，实际工作中，药师无法与医师、护士及患者进行比较深入的沟通，不能及时地针对具体的病例提出合理的用药建议，这样就使临床药学工作的开展举步维艰，服务质量大打折扣，时至今日，我国的药学教育仍严重滞后于医院药学的发展，专业知识教育的缺乏，直接影响到临床药学的发展，这与高速发展的临床医学极不协调，从而影响到临床医疗技术的提高。近期有学者提出了对临床药学工作者的定位问题：理想的临床药师应该定位为懂医的药师，还是懂药的医师2。从中可以看出，目前药师对医疗、诊断、治疗知识的欠缺，已经严重影响到临床药学专业的发展。1.1.3国内临床药学的发展虽然已有20多年的历史，